San Juan College
NPI #1679740013 in Farmington, New Mexico
Provider Information
- NPI Number
- 1679740013
- Entity Type
- Organization
- Organization Name
- San Juan College
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 14, 2008
- Last Updated
- May 14, 2008
Practice Location
- Address
- 4601 COLLEGE BLVD
- Address 2
- DENTAL CLINIC
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-4609
- Phone
- (505) 566-3126
Authorized Official
- Name
- DR. CAROL SPENCER
- Title
- PRESIDENT
- Phone
- (505) 566-3209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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